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Home kit

Oestradiol Test

Oestradiol, the main form of oestrogen, measured on its own.

  • Doctor-reviewed results
  • Laboratory analysis
  • 1 to 2 working days from lab receipt
  • No fasting required
Oestradiol Test, home test kit

What’s included

1 marker measured

  • Oestradiol

    An oestrogen hormone, often checked with FSH, LH and prolactin when periods have stopped. A low level can point to early loss of ovarian function (with a high FSH), a raised prolactin, or causes such as weight loss, stress or heavy exercise. Results are not reliable during any hormonal treatment.

Overview

Oestradiol is the main form of oestrogen, and it is measured as part of a fertility assessment, when periods have become irregular, and in men alongside testosterone. It is the number to add if you already have FSH and LH.

Oestradiol changes across the menstrual cycle by several times over, so the day the sample is taken matters more than almost anything else about it. Unless a clinician has asked for a specific day, day two to five of a period is the standard point. After the menopause the level is low and steady, and in men a small amount is normal and is usually measured alongside testosterone. It is nearly always read with FSH and LH rather than alone.

Who this is for and who it isn’t

Who it’s for

  • Adults aged 18 and over
  • Anyone adding oestradiol to FSH and LH results they already have
  • Women under 45 whose periods have become irregular

Who it isn’t for

  • Oestradiol changes several times over across the menstrual cycle, so a sample on an unplanned day is very hard to read and is the commonest reason for a confusing result. It is also rarely useful alone; FSH and LH give it its meaning. If you are on hormone replacement therapy, the number reflects your treatment and how long ago you used it, and dose decisions belong with the clinician who looks after that.
  • Over 45, UK guidance assesses the menopause on symptoms rather than blood tests.
  • Anyone with a new, severe or worsening symptom: contact your GP or call NHS 111. A test you buy today is not a substitute for being examined.

Common reasons people choose this test

  • Irregular periods or periods that have stopped
  • Adding oestradiol to FSH and LH results you already have
  • Trying to conceive and wanting the cycle hormones checked
  • Hot flushes, night sweats or disturbed sleep under 45
  • Being investigated for low testosterone in men

These are reasons people choose to test, not signs that something is wrong. A result is one part of a picture your doctor puts together with your history and an examination.

What your result looks like

Every result is shown with the unit and the reference range exactly as the laboratory reported it, with the doctor’s note underneath.

Example reportIllustrative, not a real result
  • Oestradiol▼ Low
    Result
    60 pmol/L
    Range
    98–571 (day 2–5)

Doctor’s note (example)

Oestradiol is low with a raised FSH, a pattern often seen in the menopause transition. Over 45 the assessment rests on symptoms; under 45 it is repeated in six weeks.

Values above are examples. Your report shows your own results with the laboratory’s units and reference range for your age and sex, reviewed, signed and released by a GMC-registered doctor.

How it works

  1. Your kit arrivesPosted to your door, with instructions and what you need to send your sample back.
  2. You take your sampleFinger-prick sample at home, or a clinic blood draw, your choice
  3. The laboratory analyses itYour sample is processed for the measurements included in this test. Lab processing typically takes 1 to 2 working days from receipt of your sample.
  4. A doctor reviews and releases itA GMC-registered doctor reads every result and signs the report before it reaches you.
Sample
Home finger-prick kit
Preparation
Read instructions below
Who it's for
Any sex · ages 18+

How to prepare

Wash your hands with soap and warm water before you start. Do not take the sample from a finger, or any area of skin, where hormone cream or gel has been applied, for example HRT or testosterone gel. If you apply gel to your hands, take the sample from the other hand. Hormone on the skin can get into the sample and give a falsely high result.

What we can and can’t tell you

The reference range beside each result is the laboratory’s own. A result in range is not a clean bill of health and a result outside it is not a diagnosis. Most ranges cover about 95% of healthy people, so about 1 in 20 healthy people fall just outside any one range. No test result replaces an examination or your own doctor’s judgement, and none of these panels is a cancer screening programme.

Read the full note

The reference range printed beside each of your results is the laboratory's own, and it is the range that applies to your result. We do not apply a second range of our own, and we do not tell you that a result the laboratory reported as normal is nonetheless too low or too high. If you see a claim elsewhere that your result ought to sit inside a narrower band than the one the laboratory printed, treat it with caution and ask your doctor.

Some assays cannot give an exact figure above or below a certain point, and those results are reported the way the laboratory sends them, for example as a value greater than a stated number. A result in range is not a clean bill of health, and a result outside a range is not a diagnosis: most reference ranges are set to cover about 95% of healthy people, so some healthy people fall just outside them. No blood test replaces an examination, a scan or your own doctor's judgement, and none of these panels is a screening programme for cancer.

If you have a symptom that is new, severe, or getting worse, contact your GP or NHS 111 rather than waiting for a test result. In an emergency call 999.

Frequently asked questions

Which day of the cycle?

Day two to five of a period unless a clinician has asked for another day. That is the point the standard reference ranges apply to.

What if I no longer have periods?

Then any day is fine, and the level is usually low and steady. The reviewing doctor reads it in that context rather than against a cycle range.

I use HRT. Will this show whether my dose is right?

It shows the level your current treatment is producing, which depends heavily on the type of HRT and when you last used it. Monitoring and any dose change belong with the clinician who prescribes it.

Why measure oestradiol in men?

Men make a small amount, and it is sometimes measured alongside testosterone when symptoms such as breast tenderness are being looked into, or during testosterone treatment under clinical supervision.

I use hormone cream or gel. Does that affect the sample?

It can. Hormone from cream or gel on your skin, such as HRT or testosterone gel, can get into a finger-prick sample and give a falsely high result. Wash your hands first, do not take the sample from a finger or area where cream or gel has been applied, and if you apply gel to your hands, use the other hand.

Does biotin affect the result?

It can. High-dose biotin (vitamin B7), often sold for hair, skin and nails, can make some hormone results read too high or too low. Laboratory advice is usually to leave at least 8 hours after a dose of 5 mg or more, and some advise longer, so the simplest approach is to skip it on the day of your sample. Tell us if you take it, and do not stop a medicine that a doctor has prescribed.

How long do results take?

The laboratory typically takes 1 to 2 working days from receiving your sample. This does not include kit delivery, sample collection or return postage. A doctor reviews your results before they are released.

Can I choose a home kit or a clinic?

Both, it is your choice at checkout. Either collect a finger-prick sample at home with the posted kit and send it back as the instructions explain, or book a clinic appointment and have a trained clinician take the sample for you.

Is a doctor involved?

Yes. Every result is reviewed by a GMC-registered doctor who signs it off and explains what it means and what to do next.

Is it confidential?

Your results are available through your secure patient portal. Our privacy policy explains how your information is handled and when it may be shared to provide your care.

What happens to my sample and results?

Your sample is analysed at a UKAS-accredited laboratory (ISO 15189). A GMC-registered doctor then reads every result and signs the report before it is released, so nothing reaches you unreviewed. There is no option to receive results without a doctor reading them first. The report arrives in your secure portal in plain English: each result with its unit and the laboratory's own reference range, and the doctor's note on what the set means read together. If a result sits outside its range the report says so and explains what usually happens next, which is most often a conversation with your own GP, who can act on it alongside your history and examination. Most reference ranges are set to cover about 95% of healthy people, so about 1 in 20 healthy people fall just outside any one of them. On a report with many results it is common for one to sit just outside its range, and a single number on its own rarely tells the whole story. If a result needs urgent attention, the reviewing doctor is alerted straight away and we contact you by phone the same working day rather than leaving it in the portal for you to find. If a specific result needs rechecking, the reviewing doctor says so in your report.

Doctor-reviewed results
In plain English, signed by a GMC-registered doctor
Laboratory testing
Read each test’s coverage and limitations
No GP referral
Order directly, no waiting list
Private & discreet
Secure results, your own private portal

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